An Overview of the Development and Strengthening of All-Ceramic Dental Materials

High-strength all-ceramic systems for ûxed partial dentures (FPDs) are necessary for replacing missing teeth. The ability to fabricate a restoration outside the mouth and subsequently integrate it with a tooth extends the range of materials available to be utilized by a dentist. This article presents a review of the development of all-ceramic restorations, including the evolution and development of materials, technologies and how to improve the strength of all-ceramic restorations, with respect to survival, applications, strength, color, and aesthetics. New core/framework materials have developed and evolved over the last decade because of the growth of ceramic materials and systems currently available for utilization. A search of English language reviewed literature was undertaken, which focused on the evidence-based published research articles. This review also elucidates the various all-ceramic materials and systems currently available for clinical use, and that no single universal material or system exists for all clinical cases. Successful implementation depends on the clinicians, materials, manufacturing techniques, and individual clinical condition. Further longitudinal clinical studies are recommended for the development of ceramic materials and systems.

[1]  B. A. Al-Makramani,et al.  Biaxial flexural strength of Turkom-Cera core compared to two other all-ceramic systems , 2010, Journal of applied oral science : revista FOB.

[2]  M Heller,et al.  Mechanical properties and short-term in-vivo evaluation of yttrium-oxide-partially-stabilized zirconia. , 1989, Journal of biomedical materials research.

[3]  R. Torrecillas,et al.  Alumina/molybdenum nanocomposites obtained in organic media , 2003 .

[4]  D. Cagna,et al.  An investigation of new metal framework design for metal ceramic restorations. , 1997, The Journal of prosthetic dentistry.

[5]  W. Kingery,et al.  Ceramic Masterpieces: Art, Structure, Technology , 1986 .

[6]  S. Rinke,et al.  Marginal accuracy and fracture strength of conventional and copy-milled all-ceramic crowns. , 1995, The International journal of prosthodontics.

[7]  R. Giordano Dental ceramic restorative systems. , 1996, Compendium of continuing education in dentistry.

[8]  F. Beuer,et al.  Digital dentistry: an overview of recent developments for CAD/CAM generated restorations , 2008, BDJ.

[9]  H. Gong,et al.  Mechanical properties of in-situ toughened Al2O3/Fe3Al☆ , 2003 .

[10]  B. Crispin,et al.  Effect of porcelain crown substructures on visually perceivable value. , 1991, The Journal of prosthetic dentistry.

[11]  K. Anusavice,et al.  Influence of framework design, contraction mismatch, and thermal history on porcelain checking in fixed partial dentures. , 1989, Dental materials : official publication of the Academy of Dental Materials.

[12]  Igor J Pesun,et al.  Current ceramic materials and systems with clinical recommendations: a systematic review. , 2007, The Journal of prosthetic dentistry.

[13]  S. Saint-Jean Dental Glasses and Glass-ceramics , 2014 .

[14]  K. Niihara,et al.  Mechanical and magnetic properties of nickel dispersed alumina-based nanocomposite , 1996 .

[15]  S. Hillis,et al.  Clinical assessment of high-strength all-ceramic crowns. , 2000, The Journal of prosthetic dentistry.

[16]  A. Razak,et al.  Comparison of the load at fracture of Turkom-Cera to Procera AllCeram and In-Ceram all-ceramic restorations. , 2009, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[17]  Alison J E Qualtrough,et al.  Dental ceramics: what's new? , 2002, Dental update.

[18]  J. McCabe,et al.  Applied Dental Materials , 1985 .

[19]  J R Kelly,et al.  Ceramic materials in dentistry: historical evolution and current practice. , 2011, Australian dental journal.

[20]  B. Reitz,et al.  Zirconia-TZP and alumina--advanced technologies for the manufacturing of single crowns. , 1999, The European journal of prosthodontics and restorative dentistry.

[21]  J. Quinn,et al.  Influence of microstructure and chemistry on the fracture toughness of dental ceramics. , 2003, Dental materials : official publication of the Academy of Dental Materials.

[22]  Michael V Swain,et al.  Strength, fracture toughness and microstructure of a selection of all-ceramic materials. Part II. Zirconia-based dental ceramics. , 2004, Dental materials : official publication of the Academy of Dental Materials.

[23]  Albert Mehl,et al.  A 3-dimensional accuracy analysis of chairside CAD/CAM milling processes. , 2014, The Journal of prosthetic dentistry.

[24]  B. Derby,et al.  Silicon carbide particle size effects in alumina-based nanocomposites , 1996 .

[25]  C. Russell,et al.  Leucite crystallization during processing of a heat-pressed dental ceramic. , 1996, The International journal of prosthodontics.

[26]  T. Gerds,et al.  Fracture resistance of different partial-coverage ceramic molar restorations: An in vitro investigation. , 2006, Journal of the American Dental Association.

[27]  C. Piconi,et al.  Zirconia as a ceramic biomaterial. , 1999, Biomaterials.

[28]  S. Campbell,et al.  Ceramics in dentistry: historical roots and current perspectives. , 1996, The Journal of prosthetic dentistry.

[29]  W H Mörmann,et al.  [Cerec-System: computerized inlays, onlays and shell veneers]. , 1987, Zahnarztliche Mitteilungen.

[30]  R. Seghi,et al.  The effect of ion exchange on the flexural strength of feldspathic porcelains. , 1990, The International journal of prosthodontics.

[31]  J. Tinschert,et al.  Fracture resistance of lithium disilicate-, alumina-, and zirconia-based three-unit fixed partial dentures: a laboratory study. , 2001, The International journal of prosthodontics.

[32]  A. Caputo,et al.  Moduli of rupture of layered dental ceramics. , 1994, Dental materials : official publication of the Academy of Dental Materials.

[33]  J. Hwang,et al.  Fracture strength of copy-milled and conventional In-Ceram crowns. , 2001, Journal of oral rehabilitation.

[34]  Allan W Estey,et al.  Tensile bond strengths of five luting agents to two CAD-CAM restorative materials and enamel. , 2003, The Journal of prosthetic dentistry.

[35]  Hiroshi Hirayama,et al.  Optical behavior of current ceramic systems. , 2006, The International journal of periodontics & restorative dentistry.

[36]  McLean Jw,et al.  The reinforcement of dental porcelain with ceramic oxides. , 1965 .

[37]  Wael Att,et al.  Marginal adaptation of three different zirconium dioxide three-unit fixed dental prostheses. , 2009, The Journal of prosthetic dentistry.

[38]  K. Niihara New Design Concept of Structural Ceramics , 1991 .

[39]  M Andersson,et al.  Procera: a new way to achieve an all-ceramic crown. , 1998, Quintessence international.

[40]  Dennis J Fasbinder,et al.  Restorative material options for CAD/CAM restorations. , 2002, Compendium of continuing education in dentistry.

[41]  M. Swain,et al.  Biaxial flexural strength and microstructure changes of two recycled pressable glass ceramics. , 2004, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[42]  H. Claus,et al.  Vita In-Ceram, a new system for producing aluminium oxide crown and bridge substructures , 1990 .

[43]  J Robert Kelly,et al.  Dental ceramics: current thinking and trends. , 2004, Dental clinics of North America.

[44]  C. Gonzaga,et al.  Fracture toughness of dental porcelains evaluated by IF, SCF, and SEPB methods , 2005 .

[45]  K. Anusavice Degradability of Dental Ceramics , 1992, Advances in dental research.

[46]  A Odén,et al.  A new all-ceramic crown. A dense-sintered, high-purity alumina coping with porcelain. , 1993, Acta odontologica Scandinavica.